MS. Laura Anne Bullock, LMT

NPI #1679753768 in Las Cruces, New Mexico

Provider Information

NPI Number: 1679753768
Entity Type: Individual
Name: MS. Laura Anne Bullock, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Mechanotherapist
Credential: LMT
Enumeration Date: Nov 6, 2007
Last Updated: Nov 6, 2007

Practice Location

Address: 1705 N VALLEY DR
Address 2: SUITE 2
City: Las Cruces
State: New Mexico
ZIP Code: 88007-5121
Phone: (575) 650-6113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Mechanotherapist	172M00000X	Primary

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